MCKENNA BLACK

CHICAGO, IL
NPI1376387472
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085.011527)
Enumeration Date2024-06-24
Last Update Date2025-09-10
Business Address
-- MCKENNA BLACK PA-C
1620 W HARRISON ST
CHICAGO, IL 60612-3801
Phone number: 312-942-5000
Mailing Address
-- MCKENNA BLACK PA-C
3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214-3908
Phone number: